Q: I have never thought my manhood would break any records, but now that I am in my middle ages, I am losing more inches from penis as I gain more inches in my waist. How can I reverse this?

A: Although size is an issue for a small percentage of men, the vast majority of sexual relationships flourish beautifully for the 95 percent of men who fall within the relatively normal size range.

Unfortunately, as men age anatomical issues work against them. First, the level of testosterone drops with each decade and that can contribute to penile shrinkage as well as decreased sexual ability and a decrease in lean body mass. A lower testosterone level also means less sexual desire and a recession of pubic hair, which has mentally defined manhood for many men since puberty.

In addition, as men gain the pubic hair area tends to pick up a significant amount of fat pads that we used to affectionately call, “baby fat” and this gives the impression that the penis is actually shrinking and going back inside the body. This phenomenon is mostly an optical illusion due to the change in the fat pads that surround the penis.

My best advice to you is to stay trim, be good to your body, and have the confidence that satisfying your partner is more about what is between your ears than what is between your legs.